What to Expect During Your Initial Visit at Bay IVF
By Francis Polansky, M.D.
A new patient appointment at a fertility clinic can be stressful. It is our goal to make your new patient visit with us as friendly and relaxing as possible.
When you arrive for your first appointment, you will be greeted by one of the clinic receptionists. You will sign a registration form and will have your picture taken. Having your picture in your medical record is very helpful for your treatment management. You will also have your height and weight measured, and your blood pressure will be taken. All these steps will take just a few minutes.
To make you feel as comfortable as possible, we try to schedule new patient visits so that there are a minimum number of patients in the reception area when you arrive for your appointment.
Dr. Polansky will greet you in the waiting area and bring you to his office. He has reviewed your medical and reproductive history before your appointment. He will ask you a series of clarifying questions and then present you with a summary of causes of your infertility.
You will then discuss with him the most appropriate reproductive treatment(s) for you. You will have an opportunity to ask as many questions as you might have.
Once all your questions have been answered, one of the nurses will bring you to an exam room. Your examination will start by listening to your lungs and heart.
For most patients, the next step will be a measurement of the length of the uterus followed by a saline ultrasound of the uterus. This typically takes only a few minutes. Knowing the uterine length is necessary for a proper embryo placement; the saline ultrasound is used to rule out intrauterine polyps and fibroids.
The final step of the exam is an ultrasound of the ovaries and the pelvic area. The ultrasound examination will determine the number of antral follicles (seen as dark circles within the ovaries). The total number of antral follicles corresponds with one's egg quality.
Knowing the antral follicle count is the 'last piece of the puzzle' needed for determining the probability of your treatment being successful (will result in a live birth). Dr. Polansky will generate graphs showing your current, personal probability of a successful outcome. You will receive a copy of this document and will have another opportunity to ask him any questions you still might have.
This completes the medical portion of your initial appointment, and you will then meet with one of the office managers to learn about the financial part of your treatment.
You will receive several documents that Dr. Polansky would like you to review. One of them will list the necessary prerequisites (very few left by this point), and what your next step should be.
Your entire visit will take approximately one hour.
There will likely be additional questions you will think of after you have left the clinic. Please call or email us. Excellent and discreet communication is very important to us.
We look forward to meeting you at Bay IVF and, when your treatment is successful, celebrating your new pregnancy!